Muzari Rhodesians @ Diamondcrest Farms
Ridgeback Puppy Application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Have did you hear about us?
*
Google
A Friend
Past Puppy Family
Facebook page
Other
I am interested in (choose all that apply)
Adult Male
Adult Female
Male Puppy
Female Puppy
What other animals are in your home? (Species, age and gender)
Please list the ages of people living in your home?
*
Do you own or rent?
Own
Rent
If renting, can you provide an authorization letter for a dog from your landlord?
Yes
No
Do you have a securely fenced in yard?
Yes
No
Have you throughly researched the breed and feel confident this is the right breed for you and your family?
Yes
I think so, but I have questions
No
Are you interested in a puppy for
Conformation
Companion
Protection
Lure Coursing
Other
Are you committed to providing training and socializing outside the home environment?
Yes
No
Do you agree to return the dog to us at anytime you are unable to keep him or her, at your expense and with no refund?
Yes
No
You are aware our reservation fee is $300 and is non-refundable and you are also aware that no pregnancy or time frame can ever be guaranteed?
Yes
No
VET'S INFORMATION What is your current vet's name and phone number?
PLEASE CALL YOUR VET and authorize them to release your records to Diamondcrest Farms Inc (Heather Muzzey).
Name of person your vet info is under?
If your vet info is NOT under your name, please explain why.
Your signature below is proof that you have read our purchase contract, are aware of reservation fee is non-refundable and agree to abide by this just as you expect the Seller to abide this as well.
Submit
Should be Empty: